Vertebrobasilar dolichoectasia as a cause of trigeminal neuralgia: the role of microvascular decompression. Case report-Reference-Cited by-同舟云学术

Vertebrobasilar dolichoectasia as a cause of trigeminal neuralgia: the role of microvascular decompression. Case report

Published:2006-03 Issue:1 Volume:64 Page:128-131
ISSN:0004-282X
Container-title:Arquivos de Neuro-Psiquiatria
language:
Short-container-title:Arq. Neuro-Psiquiatr.

Author:

Kraemer Jorge Luiz¹,Pereira Filho Arthur de Azambuja²,David Gustavo de²,Faria Mario de Barros²

Affiliation:

1. Complexo Hospitalar Santa Casa de Porto Alegre, Brazil; Fundação Faculdade Federal de Ciências Médicas de Porto Alegre

2. Complexo Hospitalar Santa Casa de Porto Alegre, Brazil

Abstract

Our purpose is to report a case of trigeminal neuralgia caused by vertebrobasilar dolichoectasia treated with microvascular decompression. A 63-year-old man sought treatment for a recurrent lancinating left facial pain in V2 and V3 trigeminal territories. The computed tomography angiography revealed a mechanical compression of the left trigeminal nerve due to vertebrobasilar dolichoectasia. The patient was submitted to a left suboccipital craniotomy. Shredded Teflon® was introduced in the conflicting neurovascular area, achieving a satisfactory decompression. The patient’s pain resolved immediately. Vertebrobasilar dolichoectasia is a rare cause of trigeminal neuralgia and a successful outcome can be achieved with microvascular decompression.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Link

http://www.scielo.br/pdf/anp/v64n1/a27v64n1.pdf

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